Week 4 Discussion: Culture Competence in Healthcare 

Week 4 Discussion: Culture Competence in Healthcare

Week 4 Discussion: Culture Competence in Healthcare

This week’s discussion is a continuation of your cultural assessment from last week.

Apply your assessment findings from part one (week three), to the components Cultural Care Framework (CCF). This model has enhanced nursing care delivery to diverse populations by providing a means to overcome difficulties and challenges when dealing with culturally diverse patients. Ultimately, cultural care models encourage culturally competent care for patients belonging to different cultures by helping practitioners become more understanding and adaptive to various circumstances, and better able to apply culturally focused interventions. There are other nursing cultural care theories, frameworks, and models that exist. You are welcome to use any one of those for this assignment as well. If you choose to use a different model, please make sure to explain which model you are using and describe it well for others.

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After you have studied the CCF (or other model of choice), use the following guidelines to complete the discussion assignment.

Thoroughly describe the CCF (or model of choice).

Apply the assessment findings from your patient in week three to the components of the CCF (or model of choice). This should be most of your discussion post.
Describe how completing this assignment will affect your approach to the patients you serve. Besides the required reading for this week, use two other scholarly sources within the last 5 years to support your discussion of cultural responsiveness as a provider. Please follow the rubric as well. Use APA format and make sure to cite your soures .

Assessment findings of week 3 are attached)

Initial posting in the discussion forum reflects thoughtful insight into the topic of discussion with supporting references

Demonstrates exceptional insight with at least two peer reviewed professional supporting references (must be within the last 5 years) and is posted in a timely manner. Posting is at least 300 words in length. All posted questions were answered.

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Culture Competence in Healthcare – Week 4 Discussion

Cultural responsiveness is one of the most essential components of nursing. Červený et al. (2022) note that cultural responsiveness is the ability to provide nursing services and interact with individuals from different cultures. In addition, cultural responsiveness entails the identification of a diverse population, learning about their cultural beliefs and practices, and adapting the current approaches to meet their needs. Various models and frameworks exist to assist nurses in providing culturally competent care to patients from diverse populations. One of these models is the Cultural Care Framework (CCF). This discussion explores the CCF model, applies the previous assessment findings to the components of the CCF model, and describes how completing the assignment will affect my approach to the patients I serve.

The CCF, also referred to as the theory of cultural care diversity and universality, was developed by Madeleine Leininger, the pioneer of transcultural nursing in the 1950s. The theory emphasizes the importance of understanding and integrating cultural factors into nursing practice, thus enabling the nurses to provide culturally congruent care, having beneficial meaning and health outcomes for individuals from different or similar cultural backgrounds (McFarland, 2021). Leininger proposed three modes to guide nurses in providing culturally congruent care: preservation and/or maintenance, accommodation and/or negotiation, and re-patterning and/or restructuring.

Cultural care preservation and/or maintenance entails supporting the cultural beliefs and practices related to the health and well-being of the individual. According to McFarland (2021), the accommodation or negotiation mode entails adapting nursing care practices to align with the patient’s cultural beliefs and values while maintaining their well-being. The re-patterning and/or restructuring mode involves helping the patient modify cultural practices and beliefs that may harm their health while respecting their cultural identity and values.

Based on the cultural assessment findings I conducted on my patient last week, the three modes of the CCF can be applied to improve her health and well-being while respecting her cultural identity. There are various cultural beliefs and practices that R.S. maintains that are good for her health and well-being. Therefore, the preservation and maintenance component of the CCF would be used to ensure the patient keeps these practices to support and maintain her health and well-being. For instance, R.S. goes for regular check-ups and strives to have a balanced diet since she believes that health is an essential aspect of life, and the two play a crucial role in maintaining health. She also believes that health should be maintained by all means possible. Hence, I would encourage the patient to continue routine check-ups to maintain health.

Furthermore, in the R.S. culture, one should work through sickness unless bedridden. Additionally, she reacts to pain by going silent and avoiding talking about it. These are some of the factors that can be applied to the accommodation/negotiation mode. For instance, nursing practices can be aligned with the cultural beliefs and values of the patient by ensuring that the medications given allow her to continue working. For example, if there are options for medications that do not cause drowsiness, they should be used. The re-patterning or restructuring mode would also be applied to these beliefs and modify them for the patient’s well-being. For instance, rehabilitation is vital for recovery, and one may need to rest to improve recovery without being seen as “lazy.”

Completing the cultural assessment assignment has changed my approach to serving patients. I have seen the importance of understanding a patient’s cultural beliefs and practices in depth, hence being able to tailor care according to their needs. I will also use the cultural care framework to encourage diverse patients to structure their beliefs and practices to support health and well-being.

References

Červený, M., Kratochvílová, I., Hellerová, V., & Tóthová, V. (2022). Methods of increasing cultural competence in nurses working in clinical practice: A scoping review of literature 2011-2021. Frontiers in Psychology, 13, 936181. https://doi.org/10.3389/fpsyg.2022.936181

McFarland, M. R. (2021). Madeleine M. Leininger: Theory of culture care diversity and universality (10^th Ed.). Nursing Theorists and Their Work E-Book.